ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
History and Physical
Vital signs
Physical Examination Results
Nurse’s Notes
Diagnostic Results
The client is a 54-year-old male diagnosed with Stage IIIB colorectal cancer six months ago. He is currently undergoing his fourth cycle of chemotherapy. The client has a history of hypertension, managed with lisinopril, and no known allergies. His initial presentation included fatigue, rectal bleeding, and a 5-kg unintentional weight loss over two months before diagnosis
Question 1 of 5
A nurse is caring for a 54-year-old male client in the oncology unit who is undergoing chemotherapy for colorectal cancer. The nurse must evaluate the client’s condition based on provided exhibits to determine which assessments indicate an improvement in the client’s condition.Which of the following assessments indicates an improvement in the client's condition?
Correct Answer: B,D,E
Rationale: No bleeding , normal WBC , and normal platelets indicate improved chemotherapy response. Oral health is less specific. Weight loss is not an improvement.
Extract:
Question 2 of 5
A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
Correct Answer: B
Rationale: DIC involves abnormal coagulation with fibrinogen , causing clotting and bleeding. Heparin is not a lifelong solution. DIC is acquired, not genetic . Platelet counts decrease, not increase .
Extract:
History and Physical
Vital Signs
Nurse’s Notes
Diagnostic Results
The client is a 63-year-old female with a history of Stage III colorectal cancer, for which she is receiving chemotherapy and radiation. The client denies any significant past medical history except for her cancer diagnosis. She reports that the excessive fatigue started 6 months ago and has become so intense that she is unable to perform her usual activities without needing to rest. She also mentions that she has been experiencing recurring headaches and unexplained bruising. The client has not been taking any prescribed medications but has been using ibuprofen frequently over the past 6 months for pain and joint swelling.
A nurse is caring for a 63-year-old female client in the emergency department (ED) with a history of colorectal cancer. The client is receiving chemotherapy and radiation. She presents with complaints of fatigue, unexplained bruising, and recurring headaches. The nurse must evaluate the situation based on the exhibits provided to determine the client’s risk factors and findings.
Question 3 of 5
The client is at risk for developing due to their
Correct Answer: A,F
Rationale: Low platelets increase DIC risk in cancer. Normal potassium , sodium , and oxygen rule out hyperkalemia, hyponatremia, and pneumonia. Normal creatinine makes nephritic syndrome unlikely.
Extract:
Question 4 of 5
A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?
Correct Answer: D
Rationale: Elevated PSA is associated with prostatic cancer. PSA is specific to prostate cells, not linked to liver , breast , or colon cancers.
Extract:
History and Physical
Nurse's Notes
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
The client presents with a history of hypertension and type 2 diabetes mellitus. He was found on the ground near his car after spending several hours in the sun while fixing his vehicle. The client reports feeling dizzy and weak prior to losing consciousness. He states that he did not drink enough fluids during the day. The client denies any chest pain or difficulty breathing. He has not experienced similar symptoms in the past. There is no history of neurological disorders or substance abuse. The client is alert but appears confused and disoriented.
A nurse is caring for a male client, 58 years old, in the emergency department who is suspected of having heatstroke. The primary health care provider has ordered a series of diagnostic tests and interventions. Below are the exhibits to help the nurse assess the client.
Question 5 of 5
The nurse is caring for a male client suspected of having heatstroke. Which findings are consistent with this diagnosis?
Correct Answer: A,C
Rationale: Tachycardia and hot, dry skin are heatstroke signs. Hallucinations are not typical. Bradycardia contradicts the observed tachycardia.